Displaying 221411-221420 of 1611142 results.
ID:
221411
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
966238
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221412
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
966246
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221413
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221414
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221415
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
221416
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
221417
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
221418
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221419
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221420
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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