Displaying 220501-220510 of 1611142 results.
ID:
220501
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220502
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
152695
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220503
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
854905
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220504
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
854901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220505
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220506
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220507
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220508
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220509
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
220510
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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