Displaying 224781-224790 of 1611142 results.
ID:
224781
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2473042
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224782
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049271
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224783
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049278
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224784
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224785
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224786
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658221
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224787
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861604
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224788
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224789
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
224790
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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