Displaying 214881-214890 of 1611142 results.
ID:
214881
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214882
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214883
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214884
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214885
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214886
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1247388
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214887
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214888
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049504
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
214889
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049545
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
214890
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049565
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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