Displaying 225321-225330 of 1611142 results.
ID:
225321
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225322
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225323
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225324
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225325
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225326
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225327
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225328
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
180
ID:
225329
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225330
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
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