Displaying 224141-224150 of 1611142 results.
ID:
224141
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1370754
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224142
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1370750
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224143
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
224144
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
224145
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
224146
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224147
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
85
Qty Limit Days:
28
ID:
224148
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224149
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
224150
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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