Displaying 217841-217850 of 1611142 results.
ID:
217841
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
213224
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217842
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217843
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373469
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217844
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373473
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217845
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
217846
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
217847
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
217848
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
217849
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545166
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217850
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1545163
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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