Displaying 224691-224700 of 1611142 results.
ID:
224691
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224692
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001564
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224693
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224694
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224695
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224696
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224697
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224698
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224699
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224700
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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