Displaying 220601-220610 of 1611142 results.
ID:
220601
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
220602
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
220603
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848726
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220604
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848738
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220605
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848742
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220606
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848746
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220607
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848750
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220608
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220609
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220610
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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