Displaying 223651-223660 of 1611142 results.
ID:
223651
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313761
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223652
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223653
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223654
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223655
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223656
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223657
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223658
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223659
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223660
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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