Displaying 218871-218880 of 1611142 results.
ID:
218871
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218872
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218873
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218874
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218875
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
168
Qty Limit Days:
365
ID:
218876
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
365
ID:
218877
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218878
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218879
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218880
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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