Displaying 222061-222070 of 1611142 results.
ID:
222061
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222062
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222063
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
180
ID:
222064
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222065
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
222066
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222067
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222068
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222069
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222070
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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