Displaying 220351-220360 of 1611142 results.
ID:
220351
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220352
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220353
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220354
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220355
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220356
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220357
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220358
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220359
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220360
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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