Displaying 220371-220380 of 1611142 results.
ID:
220371
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220372
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220373
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220374
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220375
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220376
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220377
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220378
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220379
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1000
Qty Limit Days:
28
ID:
220380
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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