Displaying 221101-221110 of 1611142 results.
ID:
221101
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221102
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221103
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221104
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312132
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221105
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221106
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221107
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221108
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221109
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221110
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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