Displaying 220811-220820 of 1611142 results.
ID:
220811
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220812
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
220813
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
220814
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
220815
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220816
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220817
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220818
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
220819
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220820
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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