Displaying 221751-221760 of 1611142 results.
ID:
221751
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221752
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221753
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221754
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
221755
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221756
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221757
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221758
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221759
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221760
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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