Displaying 216131-216140 of 1611142 results.
ID:
216131
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
865098
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216132
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
752388
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216133
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
731281
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216134
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1652646
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216135
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
216136
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1652242
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216137
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926332
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216138
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
216139
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2380236
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216140
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2380260
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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