Displaying 220151-220160 of 1611142 results.
ID:
220151
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220152
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
285
Qty Limit Days:
28
ID:
220153
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
220154
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
220155
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
220156
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220157
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220158
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220159
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220160
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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