Displaying 218201-218210 of 1611142 results.
ID:
218201
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218202
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218203
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218204
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218205
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
218206
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
218207
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
104206
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218208
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218209
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
218210
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
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