Displaying 223851-223860 of 1611142 results.
ID:
223851
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197575
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223852
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
223853
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223854
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223855
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
223856
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223857
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
223858
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223859
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223860
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
236
Qty Limit Days:
28
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