Displaying 224281-224290 of 1611142 results.
ID:
224281
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224282
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224283
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
224284
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224285
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224286
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224287
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224288
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224289
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224290
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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