Displaying 216601-216610 of 1611142 results.
ID:
216601
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216602
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216603
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198089
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216604
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
216605
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216606
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216607
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216608
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216609
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216610
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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