Displaying 224571-224580 of 1611142 results.
ID:
224571
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224572
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224573
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224574
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224575
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224576
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224577
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224578
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224579
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224580
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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