Displaying 224421-224430 of 1611142 results.
ID:
224421
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
224422
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
224423
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
224424
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
224425
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224426
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224427
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1247388
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224428
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224429
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
224430
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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