Displaying 222041-222050 of 1611142 results.
ID:
222041
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602028
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
222042
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
222043
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
222044
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
222045
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222046
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222047
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222048
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
877417
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222049
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222050
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2183907
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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