Displaying 209251-209260 of 1611142 results.
ID:
209251
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209252
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
867506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
209253
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
672152
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
209254
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
209255
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
209256
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209257
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209258
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209259
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209260
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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