Displaying 205521-205530 of 1611142 results.
ID:
205521
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
205522
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
865098
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205523
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
752388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205524
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
731281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205525
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1652646
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205526
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205527
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1652242
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205528
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926332
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205529
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
205530
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2380236
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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