Displaying 225431-225440 of 1611142 results.
ID:
225431
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225432
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225433
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225434
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225435
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225436
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225437
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2059292
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
14
ID:
225438
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2059280
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
14
ID:
225439
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225440
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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