Displaying 217831-217840 of 1611142 results.
ID:
217831
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217832
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217833
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1439903
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217834
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105657
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
217835
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105645
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217836
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105653
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
217837
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180336
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217838
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
615979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217839
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
217840
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
213226
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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