Displaying 223891-223900 of 1611142 results.
ID:
223891
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223892
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1080
Qty Limit Days:
365
ID:
223893
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223894
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223895
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
223896
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223897
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1435115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
223898
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099808
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223899
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223900
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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