Displaying 217471-217480 of 1611142 results.
ID:
217471
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
996561
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217472
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
854916
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217473
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
854919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217474
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
854908
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217475
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
201708
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
217476
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199422
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217477
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200082
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217478
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199663
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217479
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
905199
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217480
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
905225
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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