Displaying 224311-224320 of 1611142 results.
ID:
224311
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
799056
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224312
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
799054
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224313
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224314
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224315
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
224316
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
900156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224317
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
848582
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224318
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
824959
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224319
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
224320
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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