Displaying 214071-214080 of 1611142 results.
ID:
214071
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197873
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
214072
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214073
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214074
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214075
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214076
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214077
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214078
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214079
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214080
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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