Displaying 222451-222460 of 1611142 results.
ID:
222451
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222452
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
222453
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222454
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
810075
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222455
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
810079
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222456
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
222457
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057205
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222458
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222459
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057212
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222460
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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