Displaying 217941-217950 of 1611142 results.
ID:
217941
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217942
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217943
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217944
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310380
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217945
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1313112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217946
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1370770
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
217947
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
855671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217948
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311679
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217949
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
105583
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217950
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199378
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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