Displaying 224941-224950 of 1611142 results.
ID:
224941
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224942
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224943
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
979480
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224944
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
248109
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224945
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224946
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311290
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224947
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224948
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224949
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224950
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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