Displaying 224051-224060 of 1611142 results.
ID:
224051
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
224052
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224053
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224054
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
224055
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
213226
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224056
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
213224
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224057
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224058
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373469
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224059
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373473
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224060
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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