Displaying 220561-220570 of 1611142 results.
ID:
220561
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220562
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220563
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220564
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220565
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220566
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220567
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220568
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220569
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220570
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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