Displaying 225721-225730 of 1611142 results.
ID:
225721
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2057205
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225722
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2057216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225723
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2057212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225724
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225725
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
225726
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225727
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
225728
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225729
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225730
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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