Displaying 222921-222930 of 1611142 results.
ID:
222921
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856825
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222922
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222923
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222924
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222925
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222926
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222927
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222928
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222929
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
222930
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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