Displaying 224361-224370 of 1611142 results.
ID:
224361
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
834102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224362
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224363
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224364
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224365
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224366
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224367
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224368
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224369
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
224370
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
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