Displaying 221161-221170 of 1611142 results.
ID:
221161
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221162
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221163
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221164
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221165
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221166
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221167
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221168
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221169
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221170
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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