Displaying 220641-220650 of 1611142 results.
ID:
220641
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220642
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220643
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220644
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220645
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220646
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220647
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220648
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220649
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220650
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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