Displaying 224731-224740 of 1611142 results.
ID:
224731
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224732
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224733
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224734
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224735
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224736
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
450
Qty Limit Days:
10
ID:
224737
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224738
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224739
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224740
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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