Displaying 215511-215520 of 1611142 results.
ID:
215511
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215512
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215513
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215514
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215515
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215516
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215517
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215518
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215519
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215520
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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