Displaying 221351-221360 of 1611142 results.
ID:
221351
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221352
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
221353
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
221354
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
221355
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
221356
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221357
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221358
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
221359
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221360
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
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