Displaying 222711-222720 of 1611142 results.
ID:
222711
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
222712
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222713
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222714
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222715
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
222716
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222717
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222718
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222719
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222720
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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