Displaying 220311-220320 of 1611142 results.
ID:
220311
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
220312
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220313
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220314
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220315
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
220316
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220317
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
220318
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
220319
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010603
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
220320
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307058
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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