Displaying 218771-218780 of 1611142 results.
ID:
218771
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218772
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218773
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218774
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218775
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218776
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218777
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218778
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218779
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218780
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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