Displaying 218061-218070 of 1611142 results.
ID:
218061
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218062
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218063
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218064
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218065
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218066
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218067
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
218068
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218069
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218070
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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