Displaying 220221-220230 of 1611142 results.
ID:
220221
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
220222
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657160
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
220223
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220224
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
220225
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220226
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220227
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220228
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220229
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220230
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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