Displaying 224071-224080 of 1611142 results.
ID:
224071
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
224072
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
224073
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224074
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224075
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224076
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224077
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224078
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
224079
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
224080
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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