Displaying 216261-216270 of 1611142 results.
ID:
216261
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216262
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216263
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216264
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216265
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216266
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216267
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
393245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216268
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216269
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
ID:
216270
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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