Displaying 224151-224160 of 1611142 results.
ID:
224151
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224152
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224153
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
28
ID:
224154
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191310
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224155
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224156
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
103456
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224157
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224158
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224159
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197686
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224160
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197303
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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