Displaying 225501-225510 of 1611142 results.
ID:
225501
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225502
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225503
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225504
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225505
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225506
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
225507
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
225508
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225509
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
225510
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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