Displaying 210711-210720 of 1611142 results.
ID:
210711
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
210712
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210713
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210714
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210715
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210716
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210717
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300191
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210718
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300468
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210719
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607808
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210720
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
797641
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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