Displaying 223761-223770 of 1611142 results.
ID:
223761
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
223762
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223763
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223764
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223765
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223766
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223767
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223768
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311989
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223769
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223770
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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