Displaying 214161-214170 of 1611142 results.
ID:
214161
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857187
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214162
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214163
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214164
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214165
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214166
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214167
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214168
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214169
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214170
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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