Displaying 217101-217110 of 1611142 results.
ID:
217101
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217102
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217103
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217104
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217105
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217106
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602120
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217107
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217108
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217109
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217110
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602115
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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