Displaying 224211-224220 of 1611142 results.
ID:
224211
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224212
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224213
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224214
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224215
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224216
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
224217
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
224218
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224219
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224220
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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