Displaying 218971-218980 of 1611142 results.
ID:
218971
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218972
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218973
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218974
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218975
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218976
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
864675
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218977
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
835726
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218978
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218979
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
218980
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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