Displaying 223041-223050 of 1611142 results.
ID:
223041
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
223042
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
223043
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223044
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223045
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
223046
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
223047
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
223048
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
223049
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198243
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223050
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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