Displaying 224461-224470 of 1611142 results.
ID:
224461
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
224462
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224463
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224464
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224465
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224466
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224467
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224468
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205924
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224469
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224470
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
212219
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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