Displaying 217221-217230 of 1611142 results.
ID:
217221
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217222
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217223
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217224
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217225
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217226
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217227
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217228
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217229
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217230
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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