Displaying 216671-216680 of 1611142 results.
ID:
216671
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216672
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216673
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216674
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216675
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216676
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216677
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216678
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216679
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216680
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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