Displaying 230441-230450 of 1611142 results.
ID:
230441
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
230442
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
230443
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
230444
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
388525
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
230445
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
360507
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
230446
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230447
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230448
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230449
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
892494
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
230450
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
892596
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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