Displaying 222851-222860 of 1611142 results.
ID:
222851
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222852
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222853
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
222854
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
222855
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
222856
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222857
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
222858
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
222859
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
222860
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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