Displaying 225441-225450 of 1611142 results.
ID:
225441
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2104341
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
999
ID:
225442
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225443
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225444
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225445
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225446
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
225447
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225448
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225449
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225450
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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