Displaying 230611-230620 of 1611142 results.
ID:
230611
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1438778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230612
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230613
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230614
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230615
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1000
Qty Limit Days:
30
ID:
230616
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230617
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
230618
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230619
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230620
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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