Displaying 213971-213980 of 1611142 results.
ID:
213971
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
351246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213972
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
200193
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
213973
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
200194
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
213974
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213975
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213976
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213977
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213978
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213979
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1043025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213980
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1043031
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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