Displaying 214651-214660 of 1611142 results.
ID:
214651
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1232591
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214652
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115012
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214653
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115013
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
214654
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214655
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214656
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214657
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214658
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214659
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214660
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
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