Displaying 217741-217750 of 1611142 results.
ID:
217741
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
835568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217742
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
197739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217743
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217744
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
998189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
217745
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217746
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217747
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
845515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
217748
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1119400
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
217749
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
217750
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
861171
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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