Displaying 212241-212250 of 1611142 results.
ID:
212241
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
212242
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
212243
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
212244
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212245
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310155
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212246
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
315090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212247
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212248
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212249
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
212250
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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