Displaying 220731-220740 of 1611142 results.
ID:
220731
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220732
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
220733
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220734
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220735
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220736
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220737
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220738
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220739
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220740
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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