Displaying 222201-222210 of 1611142 results.
ID:
222201
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
966196
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222202
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
966202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222203
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
966207
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222204
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
222205
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
222206
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
222207
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222208
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222209
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222210
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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