Displaying 218461-218470 of 1611142 results.
ID:
218461
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218462
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218463
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218464
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218465
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218466
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218467
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218468
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218469
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218470
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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