Displaying 223421-223430 of 1611142 results.
ID:
223421
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223422
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223423
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223424
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223425
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1012017
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223426
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
223427
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
223428
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010603
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
223429
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307058
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223430
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010606
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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