Displaying 210651-210660 of 1611142 results.
ID:
210651
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
210652
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
210653
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210654
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
210655
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210656
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210657
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
210658
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
388517
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210659
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992273
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
210660
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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