Displaying 220291-220300 of 1611142 results.
ID:
220291
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220292
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220293
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220294
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220295
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220296
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220297
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
220298
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220299
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220300
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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