Displaying 214031-214040 of 1611142 results.
ID:
214031
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214032
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214033
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214034
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214035
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214036
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214037
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214038
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214039
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214040
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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