Displaying 210091-210100 of 1611142 results.
ID:
210091
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
210092
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
210093
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
210094
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
388525
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
210095
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
360507
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
210096
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210097
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210098
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210099
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
892494
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
210100
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
892596
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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