Displaying 221791-221800 of 1611142 results.
ID:
221791
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221792
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221793
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729029
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221794
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729033
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221795
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221796
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221797
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221798
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221799
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221800
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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