Displaying 225231-225240 of 1611142 results.
ID:
225231
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225232
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
225233
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225234
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225235
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225236
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225237
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225238
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225239
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225240
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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