Displaying 222981-222990 of 1611142 results.
ID:
222981
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
830869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222982
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222983
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
208327
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222984
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222985
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222986
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222987
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222988
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
222989
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222990
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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