Displaying 213061-213070 of 1611142 results.
ID:
213061
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
213062
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
213063
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213064
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213065
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966524
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
213066
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966529
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
213067
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1297660
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213068
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1297763
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213069
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
998426
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213070
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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