Displaying 223121-223130 of 1611142 results.
ID:
223121
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223122
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309329
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223123
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223124
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197635
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223125
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197634
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223126
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
223127
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
865117
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223128
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
865123
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223129
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860918
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223130
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859841
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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