Displaying 224391-224400 of 1611142 results.
ID:
224391
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224392
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
224393
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
224394
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
224395
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1100075
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224396
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224397
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224398
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224399
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224400
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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