Displaying 217361-217370 of 1611142 results.
ID:
217361
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217362
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217363
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217364
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217365
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217366
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217367
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217368
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217369
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
485023
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217370
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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