Displaying 223821-223830 of 1611142 results.
ID:
223821
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797883
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223822
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223823
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223824
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223825
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223826
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223827
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223828
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223829
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
223830
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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