Displaying 224431-224440 of 1611142 results.
ID:
224431
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
849831
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224432
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
849835
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224433
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224434
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224435
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224436
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224437
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224438
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224439
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
224440
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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