Displaying 219251-219260 of 1611142 results.
ID:
219251
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219252
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219253
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219254
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
607579
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
630
Qty Limit Days:
30
ID:
219255
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
219256
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
219257
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
219258
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
219259
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
219260
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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