Displaying 217231-217240 of 1611142 results.
ID:
217231
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217232
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217233
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217234
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217235
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217236
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217237
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217238
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217239
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217240
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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