Displaying 226471-226480 of 1611142 results.
ID:
226471
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
833139
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226472
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226473
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226474
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226475
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
226476
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226477
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226478
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226479
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226480
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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