Displaying 218611-218620 of 1611142 results.
ID:
218611
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
977915
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218612
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218613
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218614
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218615
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218616
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218617
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218618
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218619
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218620
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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