Displaying 210511-210520 of 1611142 results.
ID:
210511
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210512
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210513
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210514
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210515
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210516
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210517
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
210518
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
210519
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
210520
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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