Displaying 341-350 of 1611142 results.
ID:
341
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
342
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
343
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365866
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
344
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
345
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
346
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
28
ID:
347
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873995
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
348
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1421456
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
349
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
49
Qty Limit Days:
28
ID:
350
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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