Displaying 220281-220290 of 1611142 results.
ID:
220281
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
220282
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
22
Qty Limit Days:
28
ID:
220283
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
220284
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220285
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220286
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220287
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220288
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220289
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220290
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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