Displaying 215771-215780 of 1611142 results.
ID:
215771
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215772
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215773
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
215774
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198116
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215775
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
833234
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215776
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349253
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215777
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
656659
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215778
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215779
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215780
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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