Displaying 210521-210530 of 1611142 results.
ID:
210521
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
210522
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
210523
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
210524
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
210525
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210526
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210527
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210528
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210529
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210530
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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