Displaying 218261-218270 of 1611142 results.
ID:
218261
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218262
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313215
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218263
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313217
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218264
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313219
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218265
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
260376
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218266
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
328161
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218267
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218268
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218269
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197787
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218270
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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