Displaying 223661-223670 of 1611142 results.
ID:
223661
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
223662
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351172
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223663
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223664
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223665
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223666
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223667
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223668
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223669
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223670
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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