Displaying 210291-210300 of 1611142 results.
ID:
210291
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
856834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210292
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
856845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210293
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
856853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210294
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
856762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210295
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
856773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210296
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
429503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210297
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310798
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210298
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210299
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
485023
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210300
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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