Displaying 221721-221730 of 1611142 results.
ID:
221721
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221722
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221723
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221724
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221725
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221726
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221727
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221728
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221729
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311290
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221730
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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