Displaying 221121-221130 of 1611142 results.
ID:
221121
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221122
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221123
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221124
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
221125
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
221126
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221127
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221128
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221129
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221130
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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