Displaying 225611-225620 of 1611142 results.
ID:
225611
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225612
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225613
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225614
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225615
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
225616
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
225617
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
225618
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
225619
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
225620
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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