Displaying 218921-218930 of 1611142 results.
ID:
218921
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218922
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
218923
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199890
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218924
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
845488
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218925
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
218926
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
218927
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218928
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218929
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218930
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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