Displaying 216871-216880 of 1611142 results.
ID:
216871
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001565
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216872
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216873
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216874
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
216875
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
216876
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
216877
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
216878
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
216879
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
216880
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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