Displaying 223221-223230 of 1611142 results.
ID:
223221
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223222
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223223
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223224
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223225
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223226
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223227
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223228
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
223229
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
223230
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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