Displaying 220921-220930 of 1611142 results.
ID:
220921
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220922
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220923
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
220924
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220925
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220926
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220927
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220928
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220929
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220930
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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