Displaying 218441-218450 of 1611142 results.
ID:
218441
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
218442
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218443
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
218444
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218445
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
315183
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218446
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218447
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831255
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218448
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831309
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218449
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
831338
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218450
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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