Displaying 220521-220530 of 1611142 results.
ID:
220521
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220522
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220523
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220524
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220525
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220526
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
220527
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
220528
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220529
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220530
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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