Displaying 225031-225040 of 1611142 results.
ID:
225031
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225032
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225033
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225034
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225035
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225036
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225037
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225038
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225039
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225040
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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