Displaying 224301-224310 of 1611142 results.
ID:
224301
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224302
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224303
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224304
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224305
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
224306
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224307
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224308
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224309
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224310
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
799055
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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