Displaying 217271-217280 of 1611142 results.
ID:
217271
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2106334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217272
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1661220
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217273
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217274
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200371
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217275
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309314
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217276
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217277
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217278
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217279
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
402698
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217280
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
402696
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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