Displaying 218761-218770 of 1611142 results.
ID:
218761
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218762
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218763
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218764
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729029
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218765
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729033
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218766
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218767
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729076
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218768
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218769
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218770
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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