Displaying 224081-224090 of 1611142 results.
ID:
224081
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
224082
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811011
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224083
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811007
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224084
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811003
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224085
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1810999
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224086
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224087
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224088
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
224089
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224090
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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