Displaying 225751-225760 of 1611142 results.
ID:
225751
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225752
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225753
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225754
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225755
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225756
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225757
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225758
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225759
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2102472
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225760
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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