Displaying 219811-219820 of 1611142 results.
ID:
219811
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219812
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219813
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219814
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
219815
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
847917
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
219816
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
847913
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
219817
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
219818
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219819
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219820
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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