Displaying 215521-215530 of 1611142 results.
ID:
215521
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215522
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215523
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
562266
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215524
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215525
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215526
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215527
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215528
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215529
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215530
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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