Displaying 1-10 of 1611142 results.
ID:
1
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
2
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
3
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
4
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
5
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
6
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
7
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
8
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
9
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
10
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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