Displaying 220251-220260 of 1611142 results.
ID:
220251
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220252
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220253
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
220254
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
220255
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
220256
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
220257
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220258
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220259
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220260
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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