Displaying 222761-222770 of 1611142 results.
ID:
222761
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222762
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222763
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222764
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222765
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
222766
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222767
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222768
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859088
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
222769
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222770
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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