Displaying 221761-221770 of 1611142 results.
ID:
221761
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221762
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221763
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221764
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221765
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221766
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221767
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221768
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221769
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221770
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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