Displaying 220461-220470 of 1611142 results.
ID:
220461
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220462
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
220463
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220464
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220465
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220466
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220467
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220468
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310687
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220469
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220470
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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