Displaying 215121-215130 of 1611142 results.
ID:
215121
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966235
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215122
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966237
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215123
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215124
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215125
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966241
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215126
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966243
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215127
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
215128
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
215129
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
215130
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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