Displaying 217181-217190 of 1611142 results.
ID:
217181
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217182
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217183
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217184
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217185
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
745302
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217186
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
217187
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217188
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217189
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
217190
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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