Displaying 217531-217540 of 1611142 results.
ID:
217531
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
217532
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
217533
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
217534
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217535
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217536
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217537
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217538
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217539
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217540
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
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