Displaying 221571-221580 of 1611142 results.
ID:
221571
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364362
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221572
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364358
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221573
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221574
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221575
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221576
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221577
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221578
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658221
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221579
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861604
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221580
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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