Displaying 216631-216640 of 1611142 results.
ID:
216631
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216632
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216633
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
153095
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216634
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216635
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216636
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216637
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216638
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216639
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216640
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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