Displaying 215441-215450 of 1611142 results.
ID:
215441
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
215442
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
215443
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215444
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215445
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215446
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215447
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215448
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215449
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215450
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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