Displaying 223601-223610 of 1611142 results.
ID:
223601
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
223602
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223603
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223604
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223605
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1312627
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223606
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223607
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2118539
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223608
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223609
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223610
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1375922
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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