Displaying 222521-222530 of 1611142 results.
ID:
222521
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222522
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
222523
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222524
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
222525
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
222526
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
222527
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
222528
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
222529
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222530
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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