Displaying 222031-222040 of 1611142 results.
ID:
222031
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222032
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222033
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222034
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222035
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222036
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222037
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222038
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222039
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
352257
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
222040
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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