Displaying 210921-210930 of 1611142 results.
ID:
210921
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210922
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210923
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210924
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193349
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210925
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210926
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
210927
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
210928
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
210929
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
201185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210930
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
210921210922210923210924210925210926210927210928210929210930