Displaying 218191-218200 of 1611142 results.
ID:
218191
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218192
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218193
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1247388
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218194
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218195
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
218196
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
218197
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
849831
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218198
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
849835
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218199
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218200
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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