Displaying 221931-221940 of 1611142 results.
ID:
221931
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
221932
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221933
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221934
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221935
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221936
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221937
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221938
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221939
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221940
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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