Displaying 223841-223850 of 1611142 results.
ID:
223841
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223842
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223843
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223844
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
223845
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
223846
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223847
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
223848
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223849
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223850
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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