Displaying 218001-218010 of 1611142 results.
ID:
218001
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218002
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218003
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218004
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
218005
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
136
Qty Limit Days:
10
ID:
218006
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218007
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2465556
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218008
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218009
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218010
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1426600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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