Displaying 218151-218160 of 1611142 results.
ID:
218151
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218152
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218153
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218154
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218155
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218156
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218157
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218158
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
218159
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
218160
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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