Displaying 223971-223980 of 1611142 results.
ID:
223971
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223972
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223973
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
223974
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
223975
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223976
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223977
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
223978
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
858751
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223979
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
223980
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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