Displaying 217641-217650 of 1611142 results.
ID:
217641
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217642
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217643
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217644
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217645
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
37
Qty Limit Days:
30
ID:
217646
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
217647
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217648
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
217649
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
217650
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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