Displaying 216581-216590 of 1611142 results.
ID:
216581
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
903857
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216582
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856656
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216583
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856660
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216584
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856652
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216585
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
351133
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216586
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216587
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
834127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216588
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
141935
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216589
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216590
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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