Displaying 231101-231110 of 1611142 results.
ID:
231101
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2043464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231102
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231103
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
727347
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
231104
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
727386
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
231105
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1246321
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231106
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102784
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
231107
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231108
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231109
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231110
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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