Displaying 451-460 of 1611142 results.
ID:
451
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
452
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
453
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
454
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
455
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860157
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
456
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860129
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
457
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860137
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
458
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860148
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
459
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
460
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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