Displaying 224471-224480 of 1611142 results.
ID:
224471
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
213475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224472
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224473
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
224474
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
224475
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
224476
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224477
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224478
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224479
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224480
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1600710
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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