Displaying 218571-218580 of 1611142 results.
ID:
218571
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
218572
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
218573
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482517
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218574
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482523
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218575
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1482527
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218576
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235249
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218577
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040036
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218578
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1431237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218579
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040043
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218580
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1297357
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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