Displaying 222961-222970 of 1611142 results.
ID:
222961
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222962
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222963
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222964
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222965
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000070
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222966
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
222967
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
222968
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
222969
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
222970
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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