Displaying 214551-214560 of 1611142 results.
ID:
214551
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
214552
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214553
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
85
Qty Limit Days:
28
ID:
214554
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214555
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
214556
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214557
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214558
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214559
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
28
ID:
214560
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312139
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
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