Displaying 211761-211770 of 1611142 results.
ID:
211761
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
211762
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873765
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211763
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
211764
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
211765
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211766
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211767
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211768
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211769
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211770
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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