Displaying 210171-210180 of 1611142 results.
ID:
210171
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210172
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210173
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210174
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
210175
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210176
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210177
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210178
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
210179
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
210180
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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