Displaying 229751-229760 of 1611142 results.
ID:
229751
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
229752
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
229753
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
229754
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
229755
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229756
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229757
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229758
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229759
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
847241
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229760
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
153095
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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