Displaying 220611-220620 of 1611142 results.
ID:
220611
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220612
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220613
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220614
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220615
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220616
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220617
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311989
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220618
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220619
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
220620
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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