Displaying 217061-217070 of 1611142 results.
ID:
217061
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217062
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
217063
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
217064
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217065
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217066
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217067
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217068
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217069
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217070
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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