Displaying 214911-214920 of 1611142 results.
ID:
214911
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716079
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214912
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716063
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214913
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716067
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214914
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716071
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214915
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716075
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214916
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214917
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716090
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214918
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876609
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214919
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214920
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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