Displaying 220931-220940 of 1611142 results.
ID:
220931
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220932
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220933
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
220934
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220935
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220936
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
30
ID:
220937
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220938
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220939
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220940
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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