Displaying 225201-225210 of 1611142 results.
ID:
225201
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225202
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225203
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
359500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225204
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225205
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225206
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
225207
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225208
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225209
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225210
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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