Displaying 226211-226220 of 1611142 results.
ID:
226211
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1790644
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
226212
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
226213
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226214
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226215
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226216
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226217
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226218
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226219
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226220
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
847917
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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