Displaying 220591-220600 of 1611142 results.
ID:
220591
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220592
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220593
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220594
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220595
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220596
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220597
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220598
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
220599
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
220600
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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