Displaying 220081-220090 of 1611142 results.
ID:
220081
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220082
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
404059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220083
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
404062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220084
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
643488
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220085
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
404065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220086
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
753481
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220087
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
762333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220088
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358780
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220089
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358765
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220090
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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