Displaying 222131-222140 of 1611142 results.
ID:
222131
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365979
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222132
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
222133
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222134
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
222135
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222136
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222137
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222138
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720616
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222139
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222140
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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