Displaying 224851-224860 of 1611142 results.
ID:
224851
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1737789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224852
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
977923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224853
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
977929
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224854
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
977874
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224855
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
977894
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224856
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
977902
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224857
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
977909
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224858
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
977915
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224859
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224860
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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