Displaying 210351-210360 of 1611142 results.
ID:
210351
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
808118
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210352
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210353
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210354
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210355
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
210356
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210357
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1150836
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210358
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
864650
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210359
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210360
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
204423
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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