Displaying 212671-212680 of 1611142 results.
ID:
212671
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
212672
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212673
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212674
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212675
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212676
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212677
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
212678
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212679
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212680
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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