Displaying 225461-225470 of 1611142 results.
ID:
225461
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225462
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
225463
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
225464
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
225465
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
225466
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966153
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225467
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966160
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225468
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966166
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225469
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966173
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225470
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966177
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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