Displaying 221611-221620 of 1611142 results.
ID:
221611
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
221612
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
221613
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221614
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221615
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221616
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221617
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221618
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221619
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221620
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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