Displaying 224231-224240 of 1611142 results.
ID:
224231
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
224232
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
136
Qty Limit Days:
10
ID:
224233
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
844590
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224234
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
844813
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224235
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
844591
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224236
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
844829
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224237
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224238
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2465556
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224239
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224240
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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