Displaying 221891-221900 of 1611142 results.
ID:
221891
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197886
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221892
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197887
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221893
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221894
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221895
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221896
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221897
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221898
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221899
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221900
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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