Displaying 222141-222150 of 1611142 results.
ID:
222141
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222142
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222143
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222144
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222145
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222146
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222147
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222148
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222149
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222150
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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