Displaying 222011-222020 of 1611142 results.
ID:
222011
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222012
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222013
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1053697
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
222014
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111642
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222015
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487363
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
222016
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222017
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222018
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222019
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222020
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
885131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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