Displaying 224921-224930 of 1611142 results.
ID:
224921
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
224922
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224923
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224924
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224925
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224926
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
224927
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224928
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224929
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
224930
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
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