Displaying 224131-224140 of 1611142 results.
ID:
224131
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
224132
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
224133
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
224134
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
315059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224135
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224136
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224137
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224138
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224139
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224140
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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