Displaying 214901-214910 of 1611142 results.
ID:
214901
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214902
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214903
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214904
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214905
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214906
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
104206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214907
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1998774
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
214908
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1998772
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
30
ID:
214909
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797902
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
214910
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797921
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
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