Displaying 210391-210400 of 1611142 results.
ID:
210391
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210392
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1043025
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210393
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1043031
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210394
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373016
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210395
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210396
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210397
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
884522
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210398
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
856980
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
210399
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210400
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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