Displaying 230801-230810 of 1611142 results.
ID:
230801
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230802
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230803
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230804
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230805
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230806
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230807
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230808
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230809
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230810
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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