Displaying 221191-221200 of 1611142 results.
ID:
221191
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221192
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221193
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
221194
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
221195
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
221196
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100075
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
221197
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221198
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221199
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
221200
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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