Displaying 216001-216010 of 1611142 results.
ID:
216001
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
856783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216002
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607796
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216003
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216004
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
577348
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216005
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1673373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216006
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216007
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216008
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216009
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011712
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216010
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011715
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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