Displaying 209421-209430 of 1611142 results.
ID:
209421
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
359494
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
209422
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209423
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209424
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209425
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197975
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209426
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
209427
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1303736
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
209428
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209429
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209430
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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