Displaying 224821-224830 of 1611142 results.
ID:
224821
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
224822
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224823
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224824
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224825
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224826
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224827
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224828
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
224829
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
224830
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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