Displaying 225601-225610 of 1611142 results.
ID:
225601
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225602
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225603
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225604
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225605
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225606
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225607
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
351750
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225608
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
153579
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225609
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
153580
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225610
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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