Displaying 220941-220950 of 1611142 results.
ID:
220941
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220942
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220943
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220944
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220945
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220946
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193349
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220947
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220948
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
220949
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
220950
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
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