Displaying 22181-22190 of 1611142 results.
ID:
22181
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22182
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22183
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22184
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
22185
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
22186
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
22187
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22188
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22189
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22190
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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