Displaying 222411-222420 of 1611142 results.
ID:
222411
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222412
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
222413
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222414
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222415
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
222416
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
222417
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
222418
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205301
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222419
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222420
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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