Displaying 221271-221280 of 1611142 results.
ID:
221271
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
212219
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221272
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
213475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221273
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221274
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
221275
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
221276
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1236632
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
221277
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359271
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221278
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
758555
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221279
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1052660
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221280
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1250723
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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