Displaying 212791-212800 of 1611142 results.
ID:
212791
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
746804
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
212792
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
746815
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
212793
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
746813
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
212794
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
790284
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
212795
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2196792
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
212796
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2196592
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
212797
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1536144
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
212798
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1536148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
212799
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212800
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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