Displaying 231-240 of 1611142 results.
ID:
231
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
232
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
233
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
234
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
235
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
236
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
237
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
238
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
ID:
239
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
240
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
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