Displaying 221041-221050 of 1611142 results.
ID:
221041
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221042
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221043
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221044
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856460
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221045
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856481
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221046
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
860654
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221047
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1014673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221048
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221049
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221050
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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