Displaying 221981-221990 of 1611142 results.
ID:
221981
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221982
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221983
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221984
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221985
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221986
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221987
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221988
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221989
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221990
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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