Displaying 218641-218650 of 1611142 results.
ID:
218641
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
450
Qty Limit Days:
30
ID:
218642
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218643
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
ID:
218644
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218645
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218646
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218647
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218648
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218649
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
280
Qty Limit Days:
28
ID:
218650
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110774
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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