Displaying 226071-226080 of 1611142 results.
ID:
226071
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226072
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
226073
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226074
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226075
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226076
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
226077
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
616238
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226078
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
226079
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
226080
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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