Displaying 218221-218230 of 1611142 results.
ID:
218221
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
218222
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
218223
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218224
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218225
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
218226
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2396770
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
218227
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2396774
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
218228
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123137
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218229
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123141
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218230
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123145
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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