Displaying 219951-219960 of 1611142 results.
ID:
219951
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
219952
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
219953
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
219954
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
219955
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
219956
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
219957
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219958
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219959
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
219960
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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