Displaying 214941-214950 of 1611142 results.
ID:
214941
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2288431
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
37
Qty Limit Days:
30
ID:
214942
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
727816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
214943
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
214944
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2054995
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214945
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
809477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214946
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214947
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214948
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214949
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214950
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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