Displaying 220051-220060 of 1611142 results.
ID:
220051
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220052
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
220053
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220054
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
96
Qty Limit Days:
30
ID:
220055
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220056
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220057
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220058
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
220059
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
220060
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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