Displaying 210141-210150 of 1611142 results.
ID:
210141
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1314768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
210142
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210143
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210144
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210145
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
210146
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
210147
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210148
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
210149
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
210150
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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