Displaying 216181-216190 of 1611142 results.
ID:
216181
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
216182
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
216183
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216184
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216185
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216186
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216187
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216188
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216189
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216190
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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