Displaying 221451-221460 of 1611142 results.
ID:
221451
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
221452
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221453
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221454
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221455
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221456
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
680
Qty Limit Days:
28
ID:
221457
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221458
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221459
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221460
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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