Displaying 214051-214060 of 1611142 results.
ID:
214051
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214052
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
214053
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
214054
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214055
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214056
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214057
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214058
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214059
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214060
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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