Displaying 216831-216840 of 1611142 results.
ID:
216831
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
248478
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
216832
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000097
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216833
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216834
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216835
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216836
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216837
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
216838
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216839
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216840
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
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