Displaying 221231-221240 of 1611142 results.
ID:
221231
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
221232
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
849831
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221233
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
849835
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221234
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221235
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221236
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221237
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221238
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221239
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221240
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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