Displaying 216161-216170 of 1611142 results.
ID:
216161
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
216162
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
216163
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
216164
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
216165
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
216166
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216167
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216168
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216169
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216170
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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