Displaying 225741-225750 of 1611142 results.
ID:
225741
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225742
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225743
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102440
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225744
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
225745
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102456
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225746
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225747
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225748
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102460
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225749
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225750
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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