Displaying 223031-223040 of 1611142 results.
ID:
223031
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
223032
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
223033
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223034
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223035
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223036
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223037
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
223038
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
223039
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
223040
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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