Displaying 220141-220150 of 1611142 results.
ID:
220141
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220142
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
220143
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220144
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220145
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220146
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220147
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220148
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220149
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220150
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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