Displaying 216531-216540 of 1611142 results.
ID:
216531
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216532
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216533
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216534
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216535
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216536
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216537
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216538
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216539
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216540
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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