Displaying 218671-218680 of 1611142 results.
ID:
218671
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218672
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218673
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218674
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1680
Qty Limit Days:
28
ID:
218675
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
218676
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218677
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218678
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218679
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218680
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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