Displaying 261-270 of 1611142 results.
ID:
261
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
262
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
263
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
264
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
265
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
266
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
267
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049858
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
268
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049862
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
269
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
270
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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