Displaying 218111-218120 of 1611142 results.
ID:
218111
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
731241
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218112
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
731245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218113
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1605172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218114
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
352262
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218115
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
731229
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218116
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
218117
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
218118
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218119
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218120
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
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