Displaying 217581-217590 of 1611142 results.
ID:
217581
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2121410
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217582
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217583
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217584
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217585
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217586
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217587
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
997229
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217588
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217589
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217590
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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