Displaying 210481-210490 of 1611142 results.
ID:
210481
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
848956
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210482
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1596108
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
210483
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210484
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197873
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
210485
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210486
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210487
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210488
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210489
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210490
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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