Displaying 221671-221680 of 1611142 results.
ID:
221671
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221672
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221673
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221674
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
221675
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221676
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221677
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
450
Qty Limit Days:
30
ID:
221678
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221679
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
ID:
221680
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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