Displaying 221911-221920 of 1611142 results.
ID:
221911
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722680
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221912
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221913
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
748800
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221914
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727521
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221915
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999724
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221916
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221917
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221918
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
141850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221919
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221920
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
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