Displaying 230911-230920 of 1611142 results.
ID:
230911
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
230912
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230913
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
230914
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230915
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
230916
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230917
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230918
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230919
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230920
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
856987
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
230911230912230913230914230915230916230917230918230919230920