Displaying 221291-221300 of 1611142 results.
ID:
221291
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
616698
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221292
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
616705
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
221293
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221294
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221295
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
995666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221296
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221297
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221298
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221299
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221300
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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