Displaying 222101-222110 of 1611142 results.
ID:
222101
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222102
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222103
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222104
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222105
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198037
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222106
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222107
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222108
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1798370
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222109
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1798375
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222110
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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