Displaying 217771-217780 of 1611142 results.
ID:
217771
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217772
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217773
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217774
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217775
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217776
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217777
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
251575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217778
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217779
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111018
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217780
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
212381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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