Displaying 218661-218670 of 1611142 results.
ID:
218661
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
637216
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218662
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
218663
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
218664
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
218665
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
218666
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218667
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218668
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218669
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218670
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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