Displaying 223131-223140 of 1611142 results.
ID:
223131
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
28
ID:
223132
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223133
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223134
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
223135
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223136
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
96
Qty Limit Days:
30
ID:
223137
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223138
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223139
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223140
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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