Displaying 221661-221670 of 1611142 results.
ID:
221661
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221662
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
221663
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221664
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221665
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221666
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221667
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221668
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
221669
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221670
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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