Displaying 217411-217420 of 1611142 results.
ID:
217411
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099296
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217412
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197433
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217413
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
896766
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217414
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217415
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217416
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217417
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
217418
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217419
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
850309
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217420
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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