Displaying 223551-223560 of 1611142 results.
ID:
223551
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223552
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223553
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223554
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223555
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223556
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223557
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1248083
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
223558
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223559
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223560
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
706872
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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