Displaying 224541-224550 of 1611142 results.
ID:
224541
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
831285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224542
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224543
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197684
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224544
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224545
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224546
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224547
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224548
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224549
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224550
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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