Displaying 224561-224570 of 1611142 results.
ID:
224561
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224562
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224563
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224564
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224565
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224566
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224567
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224568
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224569
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
260218
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224570
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205324
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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