Displaying 210941-210950 of 1611142 results.
ID:
210941
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
210942
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
210943
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1286
Qty Limit Days:
30
ID:
210944
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210945
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
210946
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
210947
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
210948
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
210949
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210950
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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