Displaying 210541-210550 of 1611142 results.
ID:
210541
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
856992
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
210542
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
311989
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210543
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210544
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210545
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210546
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
608623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210547
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
608624
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210548
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210549
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
210550
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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