Displaying 225261-225270 of 1611142 results.
ID:
225261
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225262
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225263
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225264
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225265
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861512
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
125
Qty Limit Days:
28
ID:
225266
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225267
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
225268
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311877
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225269
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225270
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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