Displaying 221831-221840 of 1611142 results.
ID:
221831
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
221832
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221833
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
317174
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
221834
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312745
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221835
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
616483
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
221836
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312743
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
221837
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312840
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
221838
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314209
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
221839
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
199206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
221840
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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