Displaying 220171-220180 of 1611142 results.
ID:
220171
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220172
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220173
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220174
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220175
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220176
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220177
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359285
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220178
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359290
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220179
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359353
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220180
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2359358
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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