Displaying 224171-224180 of 1611142 results.
ID:
224171
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224172
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224173
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224174
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224175
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1370770
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224176
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224177
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311679
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224178
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224179
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224180
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
402505
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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