Displaying 217881-217890 of 1611142 results.
ID:
217881
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217882
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217883
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
217884
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217885
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217886
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
30
ID:
217887
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217888
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217889
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217890
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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