Displaying 215921-215930 of 1611142 results.
ID:
215921
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215922
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
215923
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
702306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215924
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1731020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215925
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
751563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215926
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
753451
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215927
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
751139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215928
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215929
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
215930
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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