Displaying 219371-219380 of 1611142 results.
ID:
219371
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
219372
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219373
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219374
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
219375
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219376
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219377
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219378
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
219379
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219380
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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