Displaying 230811-230820 of 1611142 results.
ID:
230811
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
230812
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230813
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230814
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230815
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230816
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230817
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230818
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230819
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230820
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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