Displaying 222051-222060 of 1611142 results.
ID:
222051
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222052
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222053
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222054
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222055
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
222056
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222057
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222058
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222059
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222060
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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