Displaying 216271-216280 of 1611142 results.
ID:
216271
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
216272
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
216273
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216274
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216275
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
216276
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
216277
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
997170
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
216278
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
216279
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
216280
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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