Displaying 222891-222900 of 1611142 results.
ID:
222891
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1090639
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222892
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
801405
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222893
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
800438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222894
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
800444
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222895
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222896
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
222897
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
222898
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856720
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222899
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222900
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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