Displaying 216391-216400 of 1611142 results.
ID:
216391
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216392
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216393
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216394
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115259
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216395
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216396
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216397
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216398
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216399
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
216400
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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