Displaying 214491-214500 of 1611142 results.
ID:
214491
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214492
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214493
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
214494
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214495
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214496
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
795085
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
214497
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
214498
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214499
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214500
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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