Displaying 212521-212530 of 1611142 results.
ID:
212521
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992821
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212522
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992695
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
212523
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992703
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
212524
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992691
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
212525
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992700
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
212526
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212527
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212528
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212529
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212530
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797888
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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