Displaying 222171-222180 of 1611142 results.
ID:
222171
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222172
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222173
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
222174
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222175
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222176
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222177
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222178
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
483450
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
222179
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
483438
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
222180
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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