Displaying 223461-223470 of 1611142 results.
ID:
223461
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223462
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223463
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223464
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223465
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223466
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223467
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223468
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223469
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223470
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
900164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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