Displaying 215551-215560 of 1611142 results.
ID:
215551
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215552
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215553
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215554
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215555
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215556
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215557
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215558
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215559
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215560
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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