Displaying 205711-205720 of 1611142 results.
ID:
205711
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
205712
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205713
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205714
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205715
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205716
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205717
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
205718
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205719
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205720
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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