Displaying 220821-220830 of 1611142 results.
ID:
220821
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220822
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220823
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220824
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220825
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220826
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220827
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220828
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
251575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220829
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220830
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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