Displaying 220341-220350 of 1611142 results.
ID:
220341
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200371
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220342
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220343
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220344
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220345
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220346
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
402698
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220347
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
402696
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220348
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220349
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220350
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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