Displaying 218621-218630 of 1611142 results.
ID:
218621
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
960
Qty Limit Days:
30
ID:
218622
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
218623
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205290
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
218624
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
315134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218625
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992303
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218626
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
427163
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
218627
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218628
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218629
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218630
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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