Displaying 222121-222130 of 1611142 results.
ID:
222121
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666545
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222122
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222123
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222124
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222125
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222126
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
883826
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222127
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222128
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222129
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
222130
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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