Displaying 223351-223360 of 1611142 results.
ID:
223351
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223352
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223353
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
223354
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
223355
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
223356
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
223357
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
223358
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223359
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223360
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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