Displaying 216511-216520 of 1611142 results.
ID:
216511
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216512
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216513
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216514
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
216515
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216516
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216517
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216518
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216519
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216520
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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