Displaying 224371-224380 of 1611142 results.
ID:
224371
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
224372
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224373
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224374
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224375
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224376
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224377
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224378
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224379
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224380
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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