Displaying 216951-216960 of 1611142 results.
ID:
216951
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
216952
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
106387
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216953
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216954
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
992765
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216955
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216956
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216957
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
216958
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216959
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
857683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216960
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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