Displaying 215461-215470 of 1611142 results.
ID:
215461
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215462
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215463
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215464
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215465
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215466
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215467
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215468
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
215469
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
215470
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
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