Displaying 213581-213590 of 1611142 results.
ID:
213581
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
213582
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
213583
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213584
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213585
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
702519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213586
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213587
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
885219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213588
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
885213
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213589
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
859315
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
213590
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049635
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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