Displaying 221441-221450 of 1611142 results.
ID:
221441
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221442
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221443
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221444
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221445
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221446
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221447
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221448
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221449
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221450
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
30
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