Displaying 221311-221320 of 1611142 results.
ID:
221311
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
221312
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221313
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221314
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221315
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221316
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221317
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861416
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221318
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221319
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221320
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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