Displaying 215471-215480 of 1611142 results.
ID:
215471
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215472
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215473
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215474
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215475
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215476
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215477
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215478
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215479
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
215480
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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