Displaying 217661-217670 of 1611142 results.
ID:
217661
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217662
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217663
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217664
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217665
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217666
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217667
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217668
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217669
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217670
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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