Displaying 219151-219160 of 1611142 results.
ID:
219151
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219152
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2104341
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
999
ID:
219153
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219154
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219155
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219156
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219157
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219158
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219159
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219160
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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