Displaying 216451-216460 of 1611142 results.
ID:
216451
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
216452
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216453
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216454
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216455
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216456
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216457
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216458
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216459
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216460
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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