Displaying 72211-72220 of 1611142 results.
ID:
72211
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2282414
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
72212
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283236
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
72213
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
848333
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
72214
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
848343
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
72215
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
72216
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
72217
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
28
ID:
72218
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
72219
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
72220
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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