Displaying 220021-220030 of 1611142 results.
ID:
220021
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220022
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220023
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220024
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220025
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220026
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
220027
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220028
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
220029
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220030
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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