Displaying 218741-218750 of 1611142 results.
ID:
218741
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218742
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218743
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218744
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218745
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218746
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218747
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218748
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218749
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218750
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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