Displaying 210551-210560 of 1611142 results.
ID:
210551
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210552
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210553
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210554
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300272
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
210555
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1541099
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
236
Qty Limit Days:
28
ID:
210556
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2180345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
210557
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210558
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312846
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210559
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
283858
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210560
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
562704
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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