Displaying 216471-216480 of 1611142 results.
ID:
216471
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197379
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216472
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197603
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216473
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216474
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216475
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216476
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216477
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216478
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216479
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216480
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
866018
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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