Displaying 22101-22110 of 1611142 results.
ID:
22101
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22102
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
22103
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
22104
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22105
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22106
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22107
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22108
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22109
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22110
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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