Displaying 223981-223990 of 1611142 results.
ID:
223981
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223982
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1146690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223983
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223984
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223985
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223986
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223987
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223988
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223989
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223990
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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