Displaying 225281-225290 of 1611142 results.
ID:
225281
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
225282
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111642
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225283
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1487363
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
225284
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225285
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225286
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225287
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225288
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225289
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225290
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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