Displaying 311-320 of 1611142 results.
ID:
311
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
312
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1119402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
313
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
314
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
315
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
316
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
317
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
318
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
319
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
320
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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