Displaying 213801-213810 of 1611142 results.
ID:
213801
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
902736
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
213802
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1306898
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
213803
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
808751
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213804
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
808753
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213805
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
808744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213806
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
808748
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213807
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213808
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
213809
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213810
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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