Displaying 221321-221330 of 1611142 results.
ID:
221321
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
221322
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221323
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221324
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221325
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221326
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
317128
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221327
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309337
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221328
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221329
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197980
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221330
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
544455
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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