Displaying 220301-220310 of 1611142 results.
ID:
220301
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220302
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220303
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220304
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220305
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220306
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220307
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
220308
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220309
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
220310
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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