Displaying 214041-214050 of 1611142 results.
ID:
214041
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214042
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349201
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214043
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214044
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214045
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214046
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214047
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214048
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214049
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214050
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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