Displaying 221781-221790 of 1611142 results.
ID:
221781
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221782
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221783
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221784
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221785
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221786
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
221787
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221788
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221789
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221790
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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