Displaying 220981-220990 of 1611142 results.
ID:
220981
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220982
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
85
Qty Limit Days:
28
ID:
220983
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220984
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
220985
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220986
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220987
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220988
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220989
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220990
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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