Displaying 221901-221910 of 1611142 results.
ID:
221901
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221902
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221903
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
168
Qty Limit Days:
365
ID:
221904
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
365
ID:
221905
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221906
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221907
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221908
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
221909
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
748832
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221910
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874537
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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