Displaying 225661-225670 of 1611142 results.
ID:
225661
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225662
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
977860
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225663
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
225664
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225665
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225666
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225667
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225668
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225669
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225670
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1304979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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