Displaying 224351-224360 of 1611142 results.
ID:
224351
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
224352
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
858125
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224353
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
858127
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224354
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197699
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224355
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197700
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224356
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
596926
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224357
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
596930
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224358
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
596934
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224359
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224360
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
834061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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