Displaying 223631-223640 of 1611142 results.
ID:
223631
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223632
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312127
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223633
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223634
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223635
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223636
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351246
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223637
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223638
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223639
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223640
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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