Displaying 217291-217300 of 1611142 results.
ID:
217291
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217292
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217293
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217294
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217295
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217296
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217297
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217298
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091155
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217299
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091170
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217300
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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