Displaying 225551-225560 of 1611142 results.
ID:
225551
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
225552
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
225553
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225554
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225555
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225556
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225557
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225558
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
665044
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225559
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225560
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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