Displaying 204221-204230 of 1611142 results.
ID:
204221
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313995
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
204222
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204223
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204224
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204225
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
204226
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204227
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204228
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
204229
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
204230
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
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