Displaying 215561-215570 of 1611142 results.
ID:
215561
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729033
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215562
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729047
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215563
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729076
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215564
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215565
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215566
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790317
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215567
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
314230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215568
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
628958
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215569
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861646
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215570
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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