Displaying 221521-221530 of 1611142 results.
ID:
221521
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221522
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
886671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221523
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221524
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
686418
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221525
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221526
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221527
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221528
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221529
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221530
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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