Displaying 217381-217390 of 1611142 results.
ID:
217381
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217382
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217383
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1090641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217384
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217385
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197855
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217386
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197856
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217387
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217388
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217389
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
217390
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314135
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
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