Displaying 218051-218060 of 1611142 results.
ID:
218051
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197512
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218052
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218053
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218054
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218055
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218056
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218057
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218058
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218059
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218060
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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