Displaying 213831-213840 of 1611142 results.
ID:
213831
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213832
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213833
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1000
Qty Limit Days:
28
ID:
213834
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213835
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
213836
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
213837
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
213838
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213839
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213840
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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