Displaying 218171-218180 of 1611142 results.
ID:
218171
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218172
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218173
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218174
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218175
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218176
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
999
ID:
218177
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218178
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218179
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218180
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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