Displaying 224811-224820 of 1611142 results.
ID:
224811
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224812
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1807552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224813
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1743549
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224814
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224815
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224816
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
224817
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
224818
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
224819
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
224820
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
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