Displaying 218631-218640 of 1611142 results.
ID:
218631
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218632
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218633
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218634
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218635
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218636
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218637
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218638
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
218639
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218640
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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