Displaying 217351-217360 of 1611142 results.
ID:
217351
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217352
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197320
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217353
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197527
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217354
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217355
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197529
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
217356
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217357
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
616487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217358
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312962
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217359
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349332
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217360
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351250
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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