Displaying 227531-227540 of 1611142 results.
ID:
227531
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
227532
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
227533
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2106075
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
227534
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
227535
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
227536
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
227537
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2100099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
227538
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
180
ID:
227539
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
312614
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
227540
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
283077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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