Displaying 220381-220390 of 1611142 results.
ID:
220381
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
220382
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220383
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220384
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220385
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220386
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220387
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
317573
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220388
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312440
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220389
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312441
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220390
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199123
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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