Displaying 220441-220450 of 1611142 results.
ID:
220441
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
220442
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
220443
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
220444
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220445
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220446
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220447
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220448
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220449
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220450
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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