Displaying 210721-210730 of 1611142 results.
ID:
210721
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2360588
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210722
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210723
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210724
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210725
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210726
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210727
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210728
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210729
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
727316
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
210730
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
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