Displaying 223691-223700 of 1611142 results.
ID:
223691
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223692
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223693
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223694
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223695
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223696
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223697
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223698
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223699
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223700
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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