Displaying 224111-224120 of 1611142 results.
ID:
224111
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224112
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193349
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224113
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1193353
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224114
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359344
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
224115
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359348
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
224116
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
224117
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
224118
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224119
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
224120
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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