Displaying 224751-224760 of 1611142 results.
ID:
224751
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224752
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224753
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224754
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224755
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224756
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224757
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
224758
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224759
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
824303
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224760
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1092360
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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