Displaying 214661-214670 of 1611142 results.
ID:
214661
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1010878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214662
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214663
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214664
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1370763
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
30
ID:
214665
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214666
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214667
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214668
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214669
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1998631
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214670
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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