Displaying 218981-218990 of 1611142 results.
ID:
218981
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218982
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218983
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603861
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218984
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218985
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218986
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1989507
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218987
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1053697
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
218988
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876920
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
218989
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876924
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
218990
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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