Displaying 224641-224650 of 1611142 results.
ID:
224641
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197449
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224642
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946772
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224643
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224644
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224645
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224646
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224647
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224648
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224649
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224650
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
30
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