Displaying 221691-221700 of 1611142 results.
ID:
221691
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
221692
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
221693
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221694
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221695
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221696
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221697
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221698
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221699
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221700
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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