Displaying 218961-218970 of 1611142 results.
ID:
218961
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218962
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218963
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218964
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218965
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
218966
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218967
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218968
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218969
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218970
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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