Displaying 210611-210620 of 1611142 results.
ID:
210611
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
210612
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210613
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
210614
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1809520
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210615
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210616
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210617
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210618
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210619
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210620
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1608276
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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