Displaying 217281-217290 of 1611142 results.
ID:
217281
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217282
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217283
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217284
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217285
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217286
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217287
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217288
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217289
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217290
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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