Displaying 216441-216450 of 1611142 results.
ID:
216441
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216442
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
404630
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216443
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
216444
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
28
ID:
216445
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873995
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
216446
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1421456
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216447
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923054
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
49
Qty Limit Days:
28
ID:
216448
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923056
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
70
Qty Limit Days:
28
ID:
216449
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
216450
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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