Displaying 214591-214600 of 1611142 results.
ID:
214591
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
577237
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214592
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310285
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214593
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198359
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214594
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214595
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1246673
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214596
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214597
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2287905
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
214598
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2056700
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
214599
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214600
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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