Displaying 229221-229230 of 1611142 results.
ID:
229221
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229222
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229223
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229224
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
229225
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
229226
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229227
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229228
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1243848
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229229
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1243843
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229230
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1243833
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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