Displaying 222391-222400 of 1611142 results.
ID:
222391
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
222392
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
222393
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222394
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222395
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222396
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222397
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222398
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2400
Qty Limit Days:
30
ID:
222399
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
222400
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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