Displaying 218321-218330 of 1611142 results.
ID:
218321
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218322
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218323
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218324
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218325
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
218326
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218327
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218328
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218329
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218330
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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