Displaying 215501-215510 of 1611142 results.
ID:
215501
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
849398
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215502
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
849431
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215503
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861783
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
215504
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
617430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215505
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
199884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215506
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215507
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
200285
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215508
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349353
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215509
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
636042
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215510
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
636045
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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