Displaying 220131-220140 of 1611142 results.
ID:
220131
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220132
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220133
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
220134
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
220135
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220136
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
220137
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
996572
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
98
Qty Limit Days:
28
ID:
220138
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220139
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220140
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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