Displaying 216781-216790 of 1611142 results.
ID:
216781
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216782
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216783
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216784
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216785
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216786
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216787
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216788
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216789
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216790
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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