Displaying 225181-225190 of 1611142 results.
ID:
225181
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225182
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225183
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225184
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225185
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225186
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225187
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225188
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225189
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225190
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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