Displaying 222951-222960 of 1611142 results.
ID:
222951
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
763519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222952
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
763574
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222953
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
763589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222954
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311984
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222955
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311985
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222956
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
360344
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222957
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222958
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222959
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222960
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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