Displaying 11-20 of 1611142 results.
ID:
11
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256947
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
13
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
14
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256943
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
15
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205474
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
17
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
18
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
19
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
207834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
20
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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