Displaying 223831-223840 of 1611142 results.
ID:
223831
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223832
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223833
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223834
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223835
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223836
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223837
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
223838
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223839
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223840
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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