Displaying 221971-221980 of 1611142 results.
ID:
221971
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221972
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221973
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221974
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
221975
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221976
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221977
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221978
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221979
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221980
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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