Displaying 217081-217090 of 1611142 results.
ID:
217081
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217082
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
217083
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217084
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217085
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217086
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217087
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217088
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217089
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217090
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
285
Qty Limit Days:
28
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