Displaying 224831-224840 of 1611142 results.
ID:
224831
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224832
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224833
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224834
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
30
ID:
224835
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373493
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224836
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373498
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
180
ID:
224837
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224838
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224839
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
902624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224840
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
902626
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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