Displaying 224991-225000 of 1611142 results.
ID:
224991
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224992
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224993
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224994
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224995
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224996
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224997
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224998
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224999
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225000
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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