Displaying 217491-217500 of 1611142 results.
ID:
217491
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217492
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217493
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217494
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217495
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217496
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217497
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217498
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217499
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
485434
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
217500
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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