Displaying 231021-231030 of 1611142 results.
ID:
231021
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
895990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231022
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231023
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
231024
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231025
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231026
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231027
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197575
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231028
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
358917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231029
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
231030
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1992273
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
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