Displaying 223231-223240 of 1611142 results.
ID:
223231
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223232
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223233
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223234
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
223235
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
996572
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
98
Qty Limit Days:
28
ID:
223236
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223237
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223238
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223239
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223240
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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