Displaying 225221-225230 of 1611142 results.
ID:
225221
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225222
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
225223
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
225224
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
225225
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
225226
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225227
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
225228
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
225229
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225230
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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