Displaying 220901-220910 of 1611142 results.
ID:
220901
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545159
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220902
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545156
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220903
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
220904
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
220905
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
220906
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
220907
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
220908
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220909
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220910
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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