Displaying 224291-224300 of 1611142 results.
ID:
224291
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224292
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312132
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224293
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224294
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224295
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224296
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224297
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224298
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224299
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224300
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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