Displaying 218581-218590 of 1611142 results.
ID:
218581
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356693
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218582
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926823
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218583
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218584
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218585
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218586
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218587
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
30
ID:
218588
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373493
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218589
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373498
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
180
ID:
218590
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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