Displaying 223091-223100 of 1611142 results.
ID:
223091
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223092
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223093
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223094
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223095
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223096
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223097
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859979
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223098
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
223099
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1608333
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223100
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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