Displaying 223151-223160 of 1611142 results.
ID:
223151
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223152
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223153
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223154
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223155
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223156
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223157
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223158
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197659
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223159
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197657
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223160
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
541878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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