Displaying 225521-225530 of 1611142 results.
ID:
225521
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
207834
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225522
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225523
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1736863
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225524
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
225525
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
729234
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225526
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
582971
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225527
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
582976
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225528
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
225529
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225530
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
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