Displaying 223791-223800 of 1611142 results.
ID:
223791
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223792
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223793
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223794
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223795
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223796
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223797
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223798
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223799
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223800
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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