Displaying 212421-212430 of 1611142 results.
ID:
212421
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
212422
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
212423
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
212424
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
212425
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
212426
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
212427
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
212428
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
212429
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
212430
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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