Displaying 100221-100230 of 1611142 results.
ID:
100221
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1484922
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
100222
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2203999
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
100223
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204092
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
100224
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
100225
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
100226
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591949
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
100227
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
100228
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204102
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
100229
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
100230
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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