Displaying 222381-222390 of 1611142 results.
ID:
222381
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222382
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222383
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
393245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222384
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222385
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
ID:
222386
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222387
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
222388
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
222389
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222390
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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