Displaying 222661-222670 of 1611142 results.
ID:
222661
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
222662
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222663
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222664
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222665
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222666
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222667
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222668
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
596843
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222669
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222670
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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