Displaying 229881-229890 of 1611142 results.
ID:
229881
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
229882
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229883
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229884
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1790644
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
229885
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
2387331
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
229886
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229887
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
229888
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229889
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
229890
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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