Displaying 218901-218910 of 1611142 results.
ID:
218901
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1738511
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218902
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218903
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218904
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218905
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218906
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218907
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218908
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218909
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218910
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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