Displaying 215041-215050 of 1611142 results.
ID:
215041
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215042
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215043
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
215044
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
215045
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215046
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215047
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215048
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
215049
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
215050
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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