Displaying 217851-217860 of 1611142 results.
ID:
217851
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545159
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217852
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545156
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217853
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
217854
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
217855
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
217856
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
217857
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
217858
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217859
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217860
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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