Displaying 210701-210710 of 1611142 results.
ID:
210701
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210702
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860491
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
210703
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860493
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
210704
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
210705
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860497
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
210706
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860499
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
210707
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860501
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
210708
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210709
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
210710
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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