Displaying 218931-218940 of 1611142 results.
ID:
218931
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218932
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218933
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218934
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
898490
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218935
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
686429
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218936
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314142
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
218937
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218938
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218939
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
218940
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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