Displaying 217861-217870 of 1611142 results.
ID:
217861
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217862
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217863
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
217864
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
217865
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
217866
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
217867
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811011
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217868
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811007
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217869
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811003
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
217870
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1810999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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