Displaying 225051-225060 of 1611142 results.
ID:
225051
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049891
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225052
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
540617
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
225053
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
225054
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225055
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
485489
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225056
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225057
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225058
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
225059
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225060
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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