Displaying 220411-220420 of 1611142 results.
ID:
220411
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220412
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220413
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220414
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220415
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220416
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220417
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220418
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220419
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220420
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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