Displaying 218411-218420 of 1611142 results.
ID:
218411
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198181
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218412
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
251322
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218413
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
763457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218414
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667666
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218415
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667670
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218416
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667674
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218417
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1667678
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218418
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1741747
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
30
ID:
218419
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243346
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
218420
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243326
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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