Displaying 225851-225860 of 1611142 results.
ID:
225851
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
225852
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225853
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2123314
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
180
ID:
225854
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2121096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
225855
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225856
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
225857
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225858
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225859
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225860
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
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