Displaying 214481-214490 of 1611142 results.
ID:
214481
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214482
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214483
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214484
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214485
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214486
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214487
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811011
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214488
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811007
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214489
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1811003
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
214490
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1810999
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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