Displaying 224881-224890 of 1611142 results.
ID:
224881
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224882
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224883
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224884
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224885
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224886
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224887
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
224888
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224889
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224890
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
450
Qty Limit Days:
30
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