Displaying 223481-223490 of 1611142 results.
ID:
223481
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091210
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223482
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223483
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
223484
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223485
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223486
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223487
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197848
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223488
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223489
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223490
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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