Displaying 222231-222240 of 1611142 results.
ID:
222231
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
222232
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
222233
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222234
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
222235
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222236
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222237
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222238
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222239
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222240
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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