Displaying 216381-216390 of 1611142 results.
ID:
216381
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
30
ID:
216382
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
216383
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
216384
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
216385
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
216386
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
216387
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216388
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
216389
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
216390
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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