Displaying 220801-220810 of 1611142 results.
ID:
220801
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861171
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220802
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220803
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220804
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220805
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220806
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220807
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220808
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220809
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220810
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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