Displaying 216861-216870 of 1611142 results.
ID:
216861
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216862
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216863
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216864
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
216865
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
216866
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216867
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
211343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216868
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
216869
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
216870
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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