Displaying 222831-222840 of 1611142 results.
ID:
222831
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222832
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
222833
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222834
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
222835
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222836
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222837
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222838
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222839
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222840
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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