Displaying 218231-218240 of 1611142 results.
ID:
218231
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1102277
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218232
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205918
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218233
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205922
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218234
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205924
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218235
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1721690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218236
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
212219
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218237
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
213475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218238
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
794610
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218239
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831870
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
218240
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
850457
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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