Displaying 224611-224620 of 1611142 results.
ID:
224611
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966238
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224612
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966246
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224613
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224614
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224615
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
224616
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
224617
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
224618
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224619
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224620
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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