Displaying 225091-225100 of 1611142 results.
ID:
225091
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225092
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225093
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225094
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225095
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
828373
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225096
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310274
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225097
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349420
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225098
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
10
ID:
225099
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
10
ID:
225100
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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