Displaying 224101-224110 of 1611142 results.
ID:
224101
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
30
ID:
224102
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
224103
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224104
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224105
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224106
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224107
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224108
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198036
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224109
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224110
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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