Displaying 225481-225490 of 1611142 results.
ID:
225481
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225482
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225483
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225484
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
225485
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225486
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225487
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1247381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225488
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225489
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225490
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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