Displaying 221031-221040 of 1611142 results.
ID:
221031
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313195
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221032
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221033
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221034
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221035
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221036
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221037
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221038
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
221039
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
221040
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
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