Displaying 220061-220070 of 1611142 results.
ID:
220061
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220062
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220063
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220064
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220065
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220066
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220067
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220068
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220069
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220070
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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