Displaying 217251-217260 of 1611142 results.
ID:
217251
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
217252
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
217253
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010603
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
217254
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307058
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217255
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010606
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217256
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307063
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217257
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217258
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
217259
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217260
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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