Displaying 217501-217510 of 1611142 results.
ID:
217501
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217502
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217503
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217504
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217505
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217506
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217507
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217508
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217509
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217510
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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