Displaying 224241-224250 of 1611142 results.
ID:
224241
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1426600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224242
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224243
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224244
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224245
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224246
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224247
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224248
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224249
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
224250
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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