Displaying 225801-225810 of 1611142 results.
ID:
225801
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
180
ID:
225802
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
225803
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225804
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225805
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225806
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
225807
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225808
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
225809
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
860244
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
225810
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
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