Displaying 214411-214420 of 1611142 results.
ID:
214411
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
749780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214412
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
204844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214413
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214414
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214415
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214416
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242819
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214417
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214418
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
616749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214419
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214420
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
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