Displaying 221811-221820 of 1611142 results.
ID:
221811
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221812
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221813
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221814
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221815
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
221816
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
221817
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
221818
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221819
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221820
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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