Displaying 521-530 of 1611142 results.
ID:
521
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
522
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
523
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
524
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
525
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
526
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
527
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
528
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
529
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
530
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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