Displaying 216211-216220 of 1611142 results.
ID:
216211
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216212
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216213
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216214
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216215
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216216
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
763489
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216217
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
996559
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216218
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
762833
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216219
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
762836
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216220
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
762839
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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