Displaying 217901-217910 of 1611142 results.
ID:
217901
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2359340
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
21
ID:
217902
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
201185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217903
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
217904
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217905
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
217906
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217907
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
217908
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2257013
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217909
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
217910
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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