Displaying 215051-215060 of 1611142 results.
ID:
215051
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
28
ID:
215052
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215053
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215054
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215055
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
308739
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215056
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215057
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215058
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215059
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
30
ID:
215060
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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