Displaying 225351-225360 of 1611142 results.
ID:
225351
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
315090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225352
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225353
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225354
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
225355
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225356
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225357
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225358
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225359
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225360
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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