Displaying 222001-222010 of 1611142 results.
ID:
222001
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222002
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222003
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222004
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222005
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
222006
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222007
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222008
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222009
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222010
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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