Displaying 216691-216700 of 1611142 results.
ID:
216691
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
904583
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216692
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
904593
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216693
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
848951
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216694
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
835958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216695
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
834346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216696
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216697
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216698
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216699
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1867547
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216700
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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