Displaying 214221-214230 of 1611142 results.
ID:
214221
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214222
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214223
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
214224
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214225
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214226
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214227
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214228
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797895
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
214229
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
151030
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214230
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
977990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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