Displaying 222631-222640 of 1611142 results.
ID:
222631
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222632
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222633
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222634
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222635
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309047
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222636
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222637
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222638
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222639
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222640
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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