Displaying 217391-217400 of 1611142 results.
ID:
217391
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217392
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217393
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217394
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
217395
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
217396
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
75
Qty Limit Days:
30
ID:
217397
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
217398
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217399
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217400
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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