Displaying 223811-223820 of 1611142 results.
ID:
223811
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223812
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223813
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223814
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223815
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665107
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223816
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223817
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223818
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223819
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223820
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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