Displaying 218721-218730 of 1611142 results.
ID:
218721
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218722
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218723
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218724
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218725
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218726
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218727
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218728
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218729
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218730
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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