Displaying 230521-230530 of 1611142 results.
ID:
230521
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230522
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230523
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230524
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1297753
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230525
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1297757
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230526
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230527
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230528
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230529
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230530
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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