Displaying 216061-216070 of 1611142 results.
ID:
216061
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
216062
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966153
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216063
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966160
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216064
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216065
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216066
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966177
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216067
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216068
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216069
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2104866
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216070
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966196
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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