Displaying 223921-223930 of 1611142 results.
ID:
223921
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2043464
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223922
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246321
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
223923
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223924
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223925
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
223926
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1575
Qty Limit Days:
28
ID:
223927
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223928
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
223929
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223930
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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