Displaying 221581-221590 of 1611142 results.
ID:
221581
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
221582
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221583
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807513
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221584
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221585
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221586
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
597823
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221587
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221588
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721460
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221589
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726204
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221590
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312821
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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