Displaying 215371-215380 of 1611142 results.
ID:
215371
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
215372
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215373
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215374
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368036
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215375
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
902624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215376
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
902626
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215377
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368012
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215378
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368398
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
215379
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368391
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
215380
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368020
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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