Displaying 224861-224870 of 1611142 results.
ID:
224861
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224862
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224863
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224864
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224865
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224866
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224867
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224868
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
224869
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
224870
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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