Displaying 215761-215770 of 1611142 results.
ID:
215761
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
215762
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
215763
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
215764
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215765
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215766
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
215767
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
215768
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215769
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215770
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
359500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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