Displaying 221181-221190 of 1611142 results.
ID:
221181
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221182
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221183
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221184
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221185
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221186
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221187
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221188
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221189
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221190
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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