Displaying 225981-225990 of 1611142 results.
ID:
225981
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
596843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
225982
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225983
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
225984
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225985
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
225986
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
225987
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
116
Qty Limit Days:
30
ID:
225988
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
77
Qty Limit Days:
30
ID:
225989
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
58
Qty Limit Days:
30
ID:
225990
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
39
Qty Limit Days:
30
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