Displaying 222821-222830 of 1611142 results.
ID:
222821
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222822
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222823
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222824
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1867547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222825
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
222826
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
608934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222827
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
834350
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222828
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
832718
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222829
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222830
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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