Displaying 217461-217470 of 1611142 results.
ID:
217461
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
152695
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217462
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
854905
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217463
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
854901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217464
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313762
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217465
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313761
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217466
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
884173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217467
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
884185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217468
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
884189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217469
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217470
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
996571
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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