Displaying 218781-218790 of 1611142 results.
ID:
218781
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218782
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218783
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218784
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218785
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218786
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490032
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218787
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490036
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
218788
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490040
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
218789
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218790
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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