Displaying 213721-213730 of 1611142 results.
ID:
213721
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213722
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213723
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213724
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
213725
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213726
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1543182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213727
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
213728
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213729
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213730
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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