Displaying 220011-220020 of 1611142 results.
ID:
220011
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220012
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220013
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220014
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220015
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
859979
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220016
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
220017
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1608333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220018
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220019
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220020
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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