Displaying 220551-220560 of 1611142 results.
ID:
220551
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220552
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220553
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220554
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220555
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220556
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220557
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220558
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220559
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220560
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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