Displaying 223641-223650 of 1611142 results.
ID:
223641
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223642
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223643
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223644
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223645
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198428
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223646
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223647
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
152695
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223648
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
854905
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223649
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
854901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223650
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313762
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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