Displaying 211521-211530 of 1611142 results.
ID:
211521
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1591949
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
211522
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2204104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
211523
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2204102
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
211524
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211525
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211526
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211527
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
211528
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
211529
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211530
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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