Displaying 210121-210130 of 1611142 results.
ID:
210121
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210122
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210123
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210124
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1233711
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210125
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
210126
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
ID:
210127
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
210128
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
ID:
210129
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
210130
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
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