Displaying 220771-220780 of 1611142 results.
ID:
220771
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220772
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220773
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
220774
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1575
Qty Limit Days:
28
ID:
220775
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220776
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
220777
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220778
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220779
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220780
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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