Displaying 227321-227330 of 1611142 results.
ID:
227321
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
141859
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
227322
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
227323
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
ID:
227324
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
454
Qty Limit Days:
30
ID:
227325
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
454
Qty Limit Days:
30
ID:
227326
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
227327
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
227328
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
454
Qty Limit Days:
30
ID:
227329
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
454
Qty Limit Days:
30
ID:
227330
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
454
Qty Limit Days:
30
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