Displaying 216411-216420 of 1611142 results.
ID:
216411
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216412
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
216413
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
216414
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
216415
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216416
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216417
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216418
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603361
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
ID:
216419
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603365
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
ID:
216420
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
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