Displaying 219041-219050 of 1611142 results.
ID:
219041
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310430
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
219042
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310459
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219043
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
828320
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219044
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314285
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219045
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219046
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
219047
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219048
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
751563
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219049
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
753451
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219050
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
751139
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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