Displaying 223531-223540 of 1611142 results.
ID:
223531
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223532
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223533
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223534
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223535
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
223536
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223537
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223538
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223539
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223540
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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