Displaying 225411-225420 of 1611142 results.
ID:
225411
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225412
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225413
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225414
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225415
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011712
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225416
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011715
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225417
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011752
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225418
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011755
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225419
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225420
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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