Displaying 230821-230830 of 1611142 results.
ID:
230821
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230822
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230823
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230824
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230825
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230826
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230827
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230828
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230829
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230830
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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