Displaying 221681-221690 of 1611142 results.
ID:
221681
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221682
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221683
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221684
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221685
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
280
Qty Limit Days:
28
ID:
221686
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110774
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
221687
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110777
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
221688
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
221689
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
221690
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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