Displaying 218041-218050 of 1611142 results.
ID:
218041
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1666385
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218042
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1431104
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218043
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597575
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218044
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218045
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218046
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218047
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
218048
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218049
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218050
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309309
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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