Displaying 213661-213670 of 1611142 results.
ID:
213661
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213662
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
745302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213663
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
213664
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213665
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
213666
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
213667
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
213668
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
213669
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
213670
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
388525
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
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