Displaying 226081-226090 of 1611142 results.
ID:
226081
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
226082
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226083
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226084
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226085
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226086
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
847241
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226087
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
153095
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226088
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
226089
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226090
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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