Displaying 222071-222080 of 1611142 results.
ID:
222071
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222072
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
751563
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222073
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
753451
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222074
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
751139
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222075
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403930
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222076
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222077
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222078
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197844
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222079
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197845
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222080
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
365
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