Displaying 217171-217180 of 1611142 results.
ID:
217171
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217172
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217173
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217174
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217175
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217176
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217177
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217178
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217179
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349556
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217180
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
240741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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