Displaying 225131-225140 of 1611142 results.
ID:
225131
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225132
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225133
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225134
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225135
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225136
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225137
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225138
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
168
Qty Limit Days:
365
ID:
225139
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
365
ID:
225140
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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