Displaying 212161-212170 of 1611142 results.
ID:
212161
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
857224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212162
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861512
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
125
Qty Limit Days:
28
ID:
212163
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197572
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212164
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
314266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
212165
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
749784
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212166
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
644088
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212167
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
866905
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212168
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1041518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212169
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
751553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212170
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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