Displaying 218421-218430 of 1611142 results.
ID:
218421
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243330
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218422
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243229
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218423
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
404587
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218424
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
616148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
680
Qty Limit Days:
28
ID:
218425
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
639888
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218426
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744003
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218427
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744007
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218428
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218429
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
218430
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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