Displaying 216821-216830 of 1611142 results.
ID:
216821
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
242333
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
216822
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
241527
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
216823
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
216824
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216825
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216826
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216827
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216828
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
216829
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
216830
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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