Displaying 220361-220370 of 1611142 results.
ID:
220361
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220362
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220363
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220364
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220365
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220366
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091170
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220367
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220368
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091210
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220369
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220370
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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