Displaying 223101-223110 of 1611142 results.
ID:
223101
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223102
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223103
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223104
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223105
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223106
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223107
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223108
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
223109
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223110
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
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