Displaying 222161-222170 of 1611142 results.
ID:
222161
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222162
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222163
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222164
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222165
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222166
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222167
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222168
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2104341
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
999
ID:
222169
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222170
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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