Displaying 222931-222940 of 1611142 results.
ID:
222931
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
222932
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222933
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222934
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222935
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222936
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222937
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222938
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222939
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222940
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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