Displaying 223961-223970 of 1611142 results.
ID:
223961
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403972
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223962
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403970
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223963
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403971
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223964
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223965
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197986
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223966
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
721787
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223967
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860215
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223968
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223969
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
223970
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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