Displaying 221201-221210 of 1611142 results.
ID:
221201
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221202
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221203
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221204
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221205
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221206
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221207
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221208
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221209
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221210
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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