Displaying 218861-218870 of 1611142 results.
ID:
218861
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218862
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197885
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218863
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197886
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218864
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197887
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218865
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218866
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218867
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218868
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218869
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218870
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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