Displaying 216241-216250 of 1611142 results.
ID:
216241
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216242
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
216243
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
216244
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
216245
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797880
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216246
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1113046
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216247
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
863836
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216248
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
863841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216249
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
863829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216250
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373327
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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