Displaying 215091-215100 of 1611142 results.
ID:
215091
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215092
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215093
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
215094
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
992395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215095
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
607295
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215096
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
860103
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215097
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215098
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
745462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215099
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
731541
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215100
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
836307
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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