Displaying 217551-217560 of 1611142 results.
ID:
217551
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217552
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217553
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217554
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217555
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217556
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217557
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217558
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
891893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217559
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
891874
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217560
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
892646
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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