Displaying 221801-221810 of 1611142 results.
ID:
221801
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221802
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221803
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221804
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221805
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221806
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221807
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221808
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221809
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221810
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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