Displaying 223431-223440 of 1611142 results.
ID:
223431
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307063
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223432
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223433
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
223434
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223435
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223436
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223437
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223438
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223439
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
223440
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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