Displaying 219961-219970 of 1611142 results.
ID:
219961
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
219962
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
219963
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
219964
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
219965
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219966
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
219967
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
219968
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
219969
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
219970
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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