Displaying 224341-224350 of 1611142 results.
ID:
224341
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966410
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224342
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966197
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224343
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966399
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224344
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966208
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224345
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966214
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224346
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
224347
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
224348
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224349
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224350
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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