Displaying 221841-221850 of 1611142 results.
ID:
221841
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221842
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197807
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221843
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311347
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221844
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311204
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
221845
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
221846
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221847
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221848
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221849
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221850
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
849833
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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