Displaying 225511-225520 of 1611142 results.
ID:
225511
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225512
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
225513
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225514
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
225515
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
225516
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225517
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225518
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225519
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2180671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225520
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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