Displaying 220391-220400 of 1611142 results.
ID:
220391
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197956
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220392
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197958
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220393
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220394
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220395
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220396
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220397
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220398
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220399
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220400
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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