Displaying 225301-225310 of 1611142 results.
ID:
225301
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225302
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225303
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225304
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225305
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225306
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225307
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
352257
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
225308
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225309
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602028
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
225310
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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