Displaying 215801-215810 of 1611142 results.
ID:
215801
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215802
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215803
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215804
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
28
ID:
215805
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215806
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215807
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1299897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215808
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197891
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215809
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215810
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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