Displaying 220781-220790 of 1611142 results.
ID:
220781
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
220782
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220783
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220784
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220785
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122526
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220786
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2380551
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220787
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2374566
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
220788
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197839
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220789
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220790
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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