Displaying 202531-202540 of 1611142 results.
ID:
202531
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
32
Qty Limit Days:
30
ID:
202532
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
202533
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
899511
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
202534
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
899439
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
202535
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1006608
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
202536
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1860157
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
202537
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1860129
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
202538
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1860137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
202539
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1860148
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
202540
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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