Displaying 230511-230520 of 1611142 results.
ID:
230511
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1946525
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230512
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
901550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230513
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
901555
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230514
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230515
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1114485
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230516
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230517
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230518
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230519
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230520
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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