Displaying 223571-223580 of 1611142 results.
ID:
223571
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314135
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
223572
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223573
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223574
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223575
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
223576
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223577
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
223578
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
223579
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223580
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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