Displaying 216051-216060 of 1611142 results.
ID:
216051
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216052
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216053
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216054
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216055
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216056
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216057
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216058
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
216059
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
216060
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
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