Displaying 225471-225480 of 1611142 results.
ID:
225471
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966182
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225472
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966187
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225473
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2104866
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225474
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966196
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225475
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225476
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
966207
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225477
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
225478
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
225479
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
225480
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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