Displaying 219761-219770 of 1611142 results.
ID:
219761
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
219762
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219763
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
219764
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
219765
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
219766
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
219767
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219768
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219769
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219770
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197815
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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