Displaying 222341-222350 of 1611142 results.
ID:
222341
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222342
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
486155
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
222343
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310173
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
222344
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1149645
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
222345
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310180
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
222346
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222347
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222348
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222349
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222350
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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