Displaying 221341-221350 of 1611142 results.
ID:
221341
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221342
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221343
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221344
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221345
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221346
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221347
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221348
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221349
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221350
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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