Displaying 214991-215000 of 1611142 results.
ID:
214991
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214992
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214993
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214994
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198108
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214995
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214996
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
214997
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214998
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214999
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215000
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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