Displaying 223701-223710 of 1611142 results.
ID:
223701
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223702
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223703
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223704
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223705
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223706
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223707
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223708
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223709
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223710
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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