Displaying 218891-218900 of 1611142 results.
ID:
218891
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1999724
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218892
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1873704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218893
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
848180
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218894
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123072
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
17
Qty Limit Days:
30
ID:
218895
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314076
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218896
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314077
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218897
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205326
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218898
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
646456
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218899
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310154
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218900
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
848768
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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