Displaying 223681-223690 of 1611142 results.
ID:
223681
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223682
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223683
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223684
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223685
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223686
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223687
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223688
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223689
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223690
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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