Displaying 217241-217250 of 1611142 results.
ID:
217241
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217242
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217243
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217244
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217245
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217246
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217247
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217248
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217249
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
217250
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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