Displaying 224901-224910 of 1611142 results.
ID:
224901
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
224902
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
224903
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
224904
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
224905
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000133
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
10
ID:
224906
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000136
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
450
Qty Limit Days:
10
ID:
224907
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
224908
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224909
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
224910
Formulary ID:
00021097
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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