Displaying 225171-225180 of 1611142 results.
ID:
225171
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225172
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
225173
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225174
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225175
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225176
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225177
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
225178
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225179
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225180
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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