Displaying 215411-215420 of 1611142 results.
ID:
215411
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2399904
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
215412
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215413
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215414
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
215415
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215416
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215417
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215418
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215419
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215420
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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