Displaying 217341-217350 of 1611142 results.
ID:
217341
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217342
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217343
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217344
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217345
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217346
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217347
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217348
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217349
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217350
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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