Displaying 217651-217660 of 1611142 results.
ID:
217651
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
217652
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217653
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217654
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217655
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217656
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217657
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597076
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
217658
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
217659
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217660
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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