Displaying 220321-220330 of 1611142 results.
ID:
220321
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010606
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
220322
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307063
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220323
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220324
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
220325
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220326
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220327
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220328
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220329
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220330
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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