Displaying 222781-222790 of 1611142 results.
ID:
222781
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1547660
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222782
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1547672
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222783
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222784
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222785
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222786
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222787
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222788
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222789
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222790
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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