Displaying 220911-220920 of 1611142 results.
ID:
220911
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220912
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220913
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
220914
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
220915
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
220916
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
220917
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1811011
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220918
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1811007
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220919
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1811003
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220920
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1810999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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