Displaying 214461-214470 of 1611142 results.
ID:
214461
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
214462
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214463
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373469
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214464
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373473
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214465
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214466
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214467
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214468
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214469
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545166
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214470
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545163
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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