Displaying 224491-224500 of 1611142 results.
ID:
224491
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224492
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224493
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224494
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224495
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224496
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224497
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224498
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224499
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224500
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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