Displaying 223471-223480 of 1611142 results.
ID:
223471
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
850091
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223472
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
850087
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223473
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223474
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223475
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223476
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223477
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223478
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223479
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091170
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223480
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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