Displaying 331-340 of 1611142 results.
ID:
331
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
332
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
333
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
334
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
335
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
336
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
337
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
338
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
339
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
340
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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