Displaying 225211-225220 of 1611142 results.
ID:
225211
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225212
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225213
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
225214
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
225215
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988308
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225216
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988311
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225217
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225218
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225219
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225220
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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