Displaying 221871-221880 of 1611142 results.
ID:
221871
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
10
ID:
221872
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221873
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221874
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221875
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221876
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221877
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221878
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221879
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221880
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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