Displaying 222901-222910 of 1611142 results.
ID:
222901
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
222902
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222903
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222904
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222905
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222906
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222907
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222908
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298870
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222909
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222910
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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