Displaying 210271-210280 of 1611142 results.
ID:
210271
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210272
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313190
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210273
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198377
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210274
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210275
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1483744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210276
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210277
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
721791
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
210278
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
721794
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210279
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
721796
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
210280
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
895670
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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