Displaying 217261-217270 of 1611142 results.
ID:
217261
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217262
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217263
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217264
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
217265
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
217266
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
217267
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217268
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217269
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217270
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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