Displaying 220631-220640 of 1611142 results.
ID:
220631
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220632
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220633
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220634
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220635
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220636
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220637
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220638
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220639
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220640
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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