Displaying 220101-220110 of 1611142 results.
ID:
220101
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
220102
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220103
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220104
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220105
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313451
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220106
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308508
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220107
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220108
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220109
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220110
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
207634
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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