Displaying 218281-218290 of 1611142 results.
ID:
218281
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218282
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218283
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218284
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861416
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218285
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218286
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218287
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
218288
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
218289
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218290
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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