Displaying 223881-223890 of 1611142 results.
ID:
223881
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223882
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223883
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223884
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223885
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223886
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223887
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223888
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223889
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223890
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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