Displaying 221961-221970 of 1611142 results.
ID:
221961
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221962
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221963
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221964
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
221965
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
221966
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
221967
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
221968
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221969
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
221970
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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