Displaying 226671-226680 of 1611142 results.
ID:
226671
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
226672
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226673
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226674
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226675
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226676
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
226677
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
226678
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226679
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1037049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
226680
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2359285
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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