Displaying 214151-214160 of 1611142 results.
ID:
214151
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
997223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214152
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
993503
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214153
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
993518
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214154
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
898723
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214155
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
898687
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214156
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
898690
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214157
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
898719
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214158
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1100184
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214159
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857169
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214160
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857183
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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