Displaying 222971-222980 of 1611142 results.
ID:
222971
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222972
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222973
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222974
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222975
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
222976
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
222977
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
222978
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
248478
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
222979
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222980
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
830865
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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