Displaying 222181-222190 of 1611142 results.
ID:
222181
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222182
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222183
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222184
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222185
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222186
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222187
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222188
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222189
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
222190
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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