Displaying 230501-230510 of 1611142 results.
ID:
230501
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230502
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230503
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230504
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230505
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1370748
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230506
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
966820
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230507
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
230508
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230509
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1946529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230510
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1946527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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