Displaying 224511-224520 of 1611142 results.
ID:
224511
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224512
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
224513
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224514
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224515
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224516
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861416
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224517
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224518
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224519
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224520
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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