Displaying 220041-220050 of 1611142 results.
ID:
220041
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220042
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220043
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220044
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
220045
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220046
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220047
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220048
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220049
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
220050
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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