Displaying 225101-225110 of 1611142 results.
ID:
225101
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225102
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225103
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225104
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225105
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225106
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225107
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225108
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225109
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225110
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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