Displaying 215071-215080 of 1611142 results.
ID:
215071
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
485485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215072
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
485484
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215073
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215074
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215075
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
905028
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
215076
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
215077
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215078
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215079
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215080
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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