Displaying 216291-216300 of 1611142 results.
ID:
216291
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216292
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
216293
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216294
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216295
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216296
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
216297
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
216298
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216299
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216300
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
756059
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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