Displaying 209591-209600 of 1611142 results.
ID:
209591
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1043574
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209592
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486981
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209593
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486977
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209594
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940498
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209595
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593831
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209596
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593833
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209597
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593835
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209598
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209599
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
847917
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
209600
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
847913
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
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