Displaying 214821-214830 of 1611142 results.
ID:
214821
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
214822
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311759
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214823
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
866511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214824
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
866514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214825
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
476809
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214826
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214827
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214828
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214829
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214830
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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