Displaying 222791-222800 of 1611142 results.
ID:
222791
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222792
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222793
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222794
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222795
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222796
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222797
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222798
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222799
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222800
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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