Displaying 321-330 of 1611142 results.
ID:
321
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603361
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
322
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
323
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
324
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
325
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425110
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
326
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425118
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
327
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
867506
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
328
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
329
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
330
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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