Displaying 224551-224560 of 1611142 results.
ID:
224551
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224552
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224553
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
224554
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224555
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224556
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
224557
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224558
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224559
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224560
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
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