Displaying 218751-218760 of 1611142 results.
ID:
218751
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218752
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218753
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1856424
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218754
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2052064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218755
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218756
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218757
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218758
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218759
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218760
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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