Displaying 229381-229390 of 1611142 results.
ID:
229381
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229382
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1243010
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
229383
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1243014
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
229384
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
229385
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
229386
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
229387
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1987734
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229388
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2058922
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229389
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2103175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229390
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2103179
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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