Displaying 218651-218660 of 1611142 results.
ID:
218651
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110777
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
218652
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110780
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
218653
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110783
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
218654
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110786
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
218655
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2183131
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
218656
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218657
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218658
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218659
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218660
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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