Displaying 220511-220520 of 1611142 results.
ID:
220511
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220512
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220513
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220514
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
220515
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220516
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220517
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220518
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220519
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220520
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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