Displaying 218071-218080 of 1611142 results.
ID:
218071
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218072
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218073
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218074
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
218075
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
218076
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218077
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218078
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218079
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218080
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659137
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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