Displaying 215581-215590 of 1611142 results.
ID:
215581
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215582
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861223
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215583
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215584
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215585
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215586
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215587
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
647237
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215588
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
647239
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
215589
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215590
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198312
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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