Displaying 222281-222290 of 1611142 results.
ID:
222281
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
222282
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222283
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222284
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222285
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222286
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222287
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222288
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222289
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
222290
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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