Displaying 216541-216550 of 1611142 results.
ID:
216541
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216542
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1876397
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216543
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216544
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216545
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216546
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216547
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216548
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216549
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216550
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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