Displaying 218951-218960 of 1611142 results.
ID:
218951
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218952
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218953
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218954
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218955
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218956
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218957
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218958
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218959
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218960
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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