Displaying 225021-225030 of 1611142 results.
ID:
225021
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729076
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225022
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225023
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225024
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225025
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225026
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225027
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225028
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225029
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225030
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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