Displaying 210491-210500 of 1611142 results.
ID:
210491
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210492
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210493
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210494
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210495
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210496
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210497
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
210498
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210499
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210500
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
984105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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