Displaying 216991-217000 of 1611142 results.
ID:
216991
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216992
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216993
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216994
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
687043
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
216995
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
577957
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216996
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216997
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199159
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216998
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216999
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217000
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197658
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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