Displaying 223441-223450 of 1611142 results.
ID:
223441
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
223442
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223443
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
223444
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
223445
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
223446
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2106334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223447
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1661220
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223448
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1809580
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223449
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
854876
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223450
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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