Displaying 99441-99450 of 1611142 results.
ID:
99441
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
99442
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99443
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99444
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99445
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99446
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
99447
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99448
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99449
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
99450
Formulary ID:
00021038
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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