Displaying 222021-222030 of 1611142 results.
ID:
222021
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222022
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222023
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1366550
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222024
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
222025
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222026
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222027
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222028
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222029
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222030
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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