Displaying 225161-225170 of 1611142 results.
ID:
225161
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1999724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225162
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225163
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225164
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
141850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225165
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197573
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225166
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
225167
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225168
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225169
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225170
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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