Displaying 218271-218280 of 1611142 results.
ID:
218271
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218272
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218273
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218274
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218275
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218276
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218277
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218278
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1800
Qty Limit Days:
30
ID:
218279
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218280
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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