Displaying 220851-220860 of 1611142 results.
ID:
220851
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
220852
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
477367
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220853
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
477372
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220854
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
220855
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
220856
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
220857
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
220858
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
220859
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
220860
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
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