Displaying 221531-221540 of 1611142 results.
ID:
221531
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221532
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221533
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312137
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221534
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1299911
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221535
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
855861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221536
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221537
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
855873
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221538
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308989
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221539
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308988
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221540
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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