Displaying 217191-217200 of 1611142 results.
ID:
217191
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
217192
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
217193
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
217194
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217195
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217196
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217197
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217198
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217199
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217200
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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