Displaying 220951-220960 of 1611142 results.
ID:
220951
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
201185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220952
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
220953
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
220954
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
220955
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220956
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
220957
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2257013
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220958
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
220959
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
220960
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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