Displaying 224381-224390 of 1611142 results.
ID:
224381
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224382
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224383
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224384
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860510
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224385
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224386
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860522
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224387
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860532
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224388
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224389
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224390
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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