Displaying 218011-218020 of 1611142 results.
ID:
218011
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218012
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218013
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
218014
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218015
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218016
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218017
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218018
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218019
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218020
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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