Displaying 216361-216370 of 1611142 results.
ID:
216361
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216362
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
216363
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216364
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216365
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216366
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216367
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216368
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216369
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216370
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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