Displaying 213401-213410 of 1611142 results.
ID:
213401
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
213402
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
213403
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
213404
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213405
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213406
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213407
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213408
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
213409
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
213410
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
859979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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