Displaying 229821-229830 of 1611142 results.
ID:
229821
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
229822
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198057
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
229823
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
312134
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
229824
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198059
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
229825
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229826
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229827
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229828
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229829
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1001004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
229830
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
903873
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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