Displaying 217511-217520 of 1611142 results.
ID:
217511
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217512
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217513
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217514
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217515
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217516
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217517
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217518
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217519
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217520
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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