Displaying 212471-212480 of 1611142 results.
ID:
212471
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212472
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212473
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212474
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212475
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212476
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212477
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
212478
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
212479
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212480
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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